Requalification of a cleanroom garment system

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Requalification of a cleanroom garment system
Requalification of a
cleanroom garment system
taking into account the typical signs of ageing

              B
                    ased on a question during an audit by the authorities at a pharmaceutical com-
                    pany regarding qualification data for cleanroom garments of cleanroom zone
                    A/B, this cleanroom garment was requalified* as part of a joint project. The
               people involved report here on the most important results and their interpretation.
               * At the time of the audit by the authorities, the cleanroom garments had already been in use in cleanroom zone A/B for several years. The correct func-
               tionality of the cleanroom garments was indirectly verified by means of microbiological personnel and environmental controls, but an initial qualification
               of the cleanroom garments according to current requirements (or: interpretation) was not available. Due to the already established use of the cleanroom
               garments, this study is referred to as a requalification of the cleanroom garments.
Requalification of a cleanroom garment system
tamination of the product are designed in            The relevant cleanroom garment
                                                 such a way that contamination of the product         system of the pharmaceutical
                                                 can be ruled out. Of course, the production          manufacturer involved in this
                                                 personnel pose a high microbiological and            project is specified as follows:
                                                 particulate contamination risk. One way of
                                                 reducing the contamination risk posed by             P 2-piece cleanroom-compatible intermedi-
                                                 personnel is to use cleanroom garments as              ate clothing, consisting of a long-sleeved
                                                 the only filters between people and the pro-           top and trousers, plus
                                                 duct. Consequently, cleanroom garments are           P 3-piece outerwear consisting of a hood,
                                                 of particular importance. The selected clean-          coverall and overboots.
                                                 room garment as an essential component of
                                                 the contamination control strategy must the-         The intermediate clothing is made of a clean-
                                                 refore be checked/qualified, evaluated and, if       room-compatible material woven from 100%
                                                 necessary, optimised.                                polyester microfibre filaments. The outerwear
                                                                                                      is made of a material consisting of 98% poly-
                                                 In 2018/2019, an international pharmaceuti-          ester and 2% carbon, which has proven itself
                                                 cal producer as a user of cleanroom garment,         in cleanroom applications for many years.
                                                 the cleanroom garment manufacturer Dastex
                                                 with its site in Muggensturm (Germany) and           The supplementary components of the cle-
                                                 the textile service provider Initial with its site   anroom garment system include cleanroom-
                                                 in Reutlingen (Germany) took a closer look           suitable socks, defined cleanroom shoes, cle-
                                                 at the question of how long cleanroom gar-           anroom goggles, non-woven under cap and
                                                 ments (for sterile production in cleanliness         disposable face mask, as well as two pairs of
                                                 zones A/B at a Swiss site of the pharmaceu-          sterile gloves, each with long cuffs (length: 12
                                                 tical producer) can be used. As part of a joint      inches) that can be pulled over the sleeves of
                                                 project, the aim was to study how cleanroom          the coveralls.
                                                 garments behave over the maximum defined
                                                 number of wearing, decontamination and               The maximum number of wearing, deconta-
                                                 sterilisation cycles. In more precise terms:         mination and sterilisation cycles for outer-
                                                 whether they change qualitatively over the           wear is defined as 60 and for over boots as
                                                 period of use.                                       40 (note: due to mechanical stresses during
                                                                                                      the decontamination process caused by the
                                                 The aim was to obtain reproducible                   boot soles, wear-out is higher for overboots
                                                 values for the following parameters                  than for outerwear).
                                                 under conditions that are as close to
                                                 practice as possible:                                The clothing manufacturer Dastex has well-
                                                                                                      founded technical data that also includes
                                                 P Airborne particle emission from people             signs of ageing (caused by recurring repro-
                                                   wearing cleanroom garment of different             cessing. In addition, Dastex published a study
                                                   phases of ageing                                   in 2017 on the signs of ageing after 60
                                                 P Viable contamination at defined sampling           decontamination and sterilisation cycles –
1. Introduction                                    points on the outside of persons in a              but without wearing the cleanroom gar-
                                                   cleanroom garment (textile surface)                ments in between (Alterungserscheinung ste-
How often can a cleanroom garment                                                                     riler Reinraumbekleidung, ReinRaumTechnik
be used? A question that is asked more and       The cleanroom garment system defined at              1 / 2017, Wiley). The results of this study
more frequently in audits and, in many cases,    the pharmaceutical manufacturer for sterile          did show a decrease in filtration efficiency;
cannot necessarily be answered immediately.      production in cleanliness zones A / B was            however, this was by no means to an extent
The background to this question is the easily    introduced there several years ago and has           that could result in a negative microbial or
comprehensible finding that the performance      become well established since then. The              particulate impact on the environment.
of a washable cleanroom garment decreases        results from microbiological personnel moni-
over time with the increasing number of          toring (surface checks on the outside of the
decontamination (=washing & drying) with         cleanroom garments at the end of the stay in         2. Material and methods
subsequent sterilisation cycles, as well as      cleanliness zones A/B) showed only a small
wear cycles, due to age-related effects. This    number of warning and action limit violations        For a comparative study – cleanroom garment
applies all the more if the clothing is addi-    since the introduction of this cleanroom gar-        in new condition versus cleanroom garment
tionally sterilised. The contamination control   ment system and was therefore interpreted            with a maximum number of reprocessing
strategy required in the draft (2020) of the     as a reliable cleanroom garment system.              (washing/sterilising) with an intervening use
new Annex 1 (GMP Guideline) also demands         However, the qualification of this cleanroom         (wearing) – the use of the Body-Box method
that all parameters that could result in con-    garment system was missing until now.                with constant ambient conditions is appro-

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Requalification of a cleanroom garment system
Requalification of a
                                                                                                                     cleanroom garment system

Body-Box                                         Measuring system BioTrak®                         Contact plate test

priate. The basics of the Body-Box method are    P During the movement programme:                  Three age conditions of the clean-
described in an American recommendation                                                            room garment were compared:
                                                   •   Measurement of particle release
practice (IEST RP-CC003.4). The Body-Box
                                                 		    (airborne; Optical Particle Counter;
system is described in detail in the publica-                                                      1. New condition ➜ cleanroom garment
                                                 		    28.3 L sample volume per minute;
tion „Body-Box-Test, eine Testmethode auf                                                          was professionally washed and sterilised
                                                 		    using BioTrak® and
dem Prüfstand“ (ReinRaumTechnik 2/ 2004,                                                           three times (to remove potential residual
                                                   •   Measurement of the release of viable
GIT-Verlag). The environmental conditions in                                                       substances from the fabric).
                                                 		    contaminants (airborne; laser-induced
the Body-Box used correspond to those of a                                                         2. Final condition ➜ cleanroom garment
                                                 		    fluorescence; 28.3 L sample volume
cleanliness zone ISO 4 (ISO 14644-1).                                                              that has reached the specified maximum
                                                 		    per minute; using BioTrak®)
                                                                                                   number of wear cycles (60/40 cycles with
Within the framework of this study, which                                                          a maximum of 3.5 hours wear time) incl.
                                                 P Before leaving the Body-Box, the bacterial
was carried out in the Body-Box of the                                                             washing and sterilisation cycles (123 °C for
                                                   count on the outside of the cleanroom
company Dastex, the following activities of                                                        30 min.)
                                                   garment is checked by means of contact
a person dressed in the cleanroom gar-                                                             3. Safety buffer ➜ cleanroom garment
                                                   plate tests at 20 measuring points distri-
ment described (in different states of age)                                                        that has reached the specified maximum
                                                   buted over the hood, coverall and over-
were accompanied by microbiological mea-                                                           num­­ber of wearing cycles (60 / 40) incl.
                                                   boots:
surements and particle measurements. The                                                           decontamination and sterilisation cycles
measurements were intended to test the             •   1x forehead                                 (123 °C for 30 min.) has been decontami-
permeability or retention capacity of the cle-     •   1x cheek                                    nated and steri­lised a further 20 times, but
anroom garment with regard to particulate          •   2x abdomen                                  without wea­ri­ng the cleanroom garments in
and microbial contamination.                       •   8x arms (2x upper arm and                   between. These additional decontamination
                                                 		    2x lower arm each)                          and sterilisation cycles of the cleanroom gar-
A person trained in the correct don-               •   4x legs (1x front thigh and                 ment was intended to represent a worst-case
ning of cleanroom garment perfor-                		    1x back thigh each)                         scenario, on the basis of which the perfor-
med the following activities in the                •   2x boots (1x per boot)                      mance of the garment concept was also to be
Body-Box:                                          •   1x bottom                                   tested beyond the defined final cycle number.
                                                   •   1x chest
P Entering the Body-Box                                                                            For each ageing stage, ten sets of garments
P Acclimatisation time in the Body-Box           The BioTrack® real-time viable particle coun-     were examined both for the analysis in the
  without movements                              ter enables the detection of the total particle   Body-Box and for the determination of the
P Start of the defined movement program-         count of airborne particles as well as a diffe-   residual contamination levels, in order to
  me (alternating walking movements and          rentiation into airborne particles and airbor-    obtain a sufficient data basis for a statistical
  standing still). These activities were to      ne viable particles based on biofluorescence.     evaluation of the results.
  simulate wearing the cleanroom garment.        The microbiological analyses were incubated
                                                 at 30 – 35°C for 5–7 days and analysed
 Phase                         Duration
                                                 with regard to the total bacterial count. In      3. Results
                                                 addition, the residual contamination levels
 Acclimatisation time          1 – 10 min        of the reprocessed cleanroom garments were        3.1 Residual contamination values
 (Standing)                                      determined prior to sterilisation with the        The determination of the residual contami-
 Standing		                        5 min         help of the suction method in accordance          nation levels by the laundry showed that
                                                 with ASTM-F51. In this method, air is sucked      the levels – even with increasing age of the
 Walking		                         5 min
                                                 through the cleanroom fabric by means of a        garments – remained approximately constant
 Standing		                       10 min         particle measuring device; existing particles     and were always well below the typical limits
 Walking		                        10 min         are thereby loosened from the fabric and          (less than 1,000 particles ≥ 5 µm / ft2) accor-
 Standing		                        5 min
                                                 measured. In total, the following measuring       ding to ASTM F51.
                                                 points were defined: coverall (chest, upper
 Walking		                         5 min         arm, abdomen, front thigh, back thigh); hood      3.2 Microbiological results
Table 1: Movement programme:                     (forehead, cheek (mouth area); boots (at the      The analysis of the microbiological load on
activities performed in the Body-Box             top of the shaft).                                the outside of the cleanroom garments was

                                                                                                                                               F3
Requalification of a cleanroom garment system
● 0-cycles
Requalification of a
cleanroom garment system                                                                                                                     ● 60-cycles

                                                                                                                                                 CFU

                                                   CFU
carried out by the pharmaceutical manufac-
turer. For the statistical analysis, the results
of the individual test points from the out-
side of the cleanroom garment were not
considered separately, but were combined
into one group. Figure 1 shows the individual
data with the box plot of the clothing sets
with 0 and 60 resp. 40 decontamination,                                      0-cycles                               60-cycles
sterilisation and wearing cycles with 0 and 60       Figure 1: Microbial count analysis of the Cycle
                                                                                               outside of the garment (output = colony
resp. 40 decontamination, sterilisation and          forming unit) of the garment sets (0 and 60 resp. 40 decontamination, sterilisation
wearing cycles.                                      and wearing cycles) with overlaying box-plots.

The statistical analysis of the cleanroom gar-       The data of the particle measurements with          The statistical of the particle measurements
ments with 0 and 60 or 40 cycles was carried         particle size ≥ 0.5 µm are subject to a log-nor-    with a particle size ≥ 5 µm (0 and 60 resp. 40
out using a generalised linear model (model          mal distribution. For this reason, the data of      decontamination, sterilisation and wearing
for negative binomial distribution) due to the       the particle measurements (0 and 60 resp. 40        cycles) was performed using a generalised
high occurrence of 0 CFU events. In addition,        decontamination, sterilisation and wearing          linear model (model for negative binomial
a chi-squared test was used to check whe­            cycles) were log transformed and subsequent-        distribution) due to the high occurrence of 0
ther there was an association between the            ly compared with each other by means of a           particle events. In addition, a chi-squared test
two ageing states. The determined bacterial          2-sample T-test for significance (p < 0.05)).       was used to check whether there was an asso-
counts were categorised according to the                                                                 ciation between the particle measurements of
defined action limit for cleanroom garments          No significant difference (p = 0.1855 > 0.05)       the different ageing states. The determined
into > 5 CFU (YES, contamination) and ≤ 5            was found between the particle measure-             particle counts were categorised into particles
CFU (NO, no contamination).                          ments (particle size ≥ 0.5 µm) of the clothing      present (YES, contamination) and no particles
                                                     with 0 and 60 resp. 40 decontamination,             present (NO, no contamination).
The results of the generalised linear model          sterilisation and wearing cycles. As a result,
indicate that there is no significant diffe-         the new garments are comparable to the              The results of the generalised linear model
rence between the two garment sets (0                garments with 60 or 40 decontamination,             indicate that there is a significant difference
and 60 resp. 40 cycles) (p = 0.469 > 0.05).          sterilisation and wearing cycles in terms of        between the two garment sets (0 and 60
Furthermore, no association between the two          particle release (particle size ≥ 0.5 µm).          resp. 40 decontamination, sterilisation and
garment sets (0 and 60 resp. 40 decontami-                                                               wearing cycles) (p < 0.05).
nation, sterilisation and wearing cycles) could      Figure 3 shows the individual data with the
be detected by means of a chi-squared test.          corresponding box-plot of the particle mea-         In contrast, however, no association could be
Based on these results, it can be concluded          surements of particle size ≥ 5 µm (0 and 60         detected by means of a chi-squared test be­
that the garment sets with 0 and 60 or 40            resp. 40 cycles).                                   tween the particle counts of particle size ≥ 5
cycles are microbiologically comparable.

3.3 Particle results                                              2,5
Using the BioTrak® system, the particle
counts in the return air were recorded during
                                                                  2,0
the study of the cleanroom garments in the
Body-Box. A distinction was made between
the total airborne particles (total, T: analysed
                                                                  1,5
                                                   Log T 0.5 µm

particle sizes ≥ 0.5 µm and ≥ 5 µm) and
viable particles (V: analysed particle ≥ 1 µm).
                                                                  1,0
The results of the particle measurements of
particle sizes ≥ 0.5 µm and ≥ 5 µm were
statistically separately analysed due to the                      0,5
different data distributions (particle sizes ≥
0.5 µm log normal distribution, ≥ 5 µm nega-
tive binomial distribution).                                      0,0

Figure 2 shows the individual log transfor-                                        0-cycles                          60-cycles            Each Pair
                                                                                                                                          Student’s t
med data with corresponding box-plot of the                                                                                                  0.05
particle measurements with particle size ≥                                                       Cycle
0.5 µm (0 and 60 resp. 40 washing, sterilisa-        Figure 2: Log transformed data of the garments with 0 and 60 resp. 40 decontamination,
tion and wearing cycles).                            sterilisation and wearing cycles with overlaying box-plots.

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Requalification of a cleanroom garment system
● 0-cycles
                                                                                                                                   Requalification of a
                                                                                           ● 60-cycles                      cleanroom garment system

                                                                                              T  5 µm
T  5 µm

                                                                                                          rements for use in cleanliness zones A/B and
                                                                                                          that the specified maximum decontamination
                                                                                                          and sterilisation cycles, including use of the
                                                                                                          cleanroom garment in between, proved to
                                                                                                          be adequate, since no statistically significant
                                                                                                          difference could be demonstrated between
                                                                                                          new cleanroom garments and cleanroom
                         0-cycles                                60-cycles
                                                                                                          garments after maximum use. Thus, the gar-
 Figure 3: Particle measurements     (particleCycle
                                               size
                                               ≥ 5 µm) of the garment                                     ment system investigated here could be suc-
 with 0 and 60 resp. 40 cycles with box-plots drawn in.                                                   cessfully requalified for the pharmaceutical
                                                                                                          producer. However, the results obtained in
                                                                                                          this study cannot be easily transferred to
 µm and the two garment sets (0 and 60 resp.          ment sets of the different age states could be      other – even if similar – cleanroom garment
 40 decontamination, sterilisation and wearing        carried out here. Figure 4 shows the data for       systems.
 cycles). Based on these different results, it is     the age states 0 and 60 resp. 40 decontamina-
 not possible to make a clear statement regar-        tion, sterilisation and wearing cycles as a bar     Different influencing factors can
 ding comparability on the basis of particle          chart. During the standing phases, no viable        change the efficiency of a cleanroom
 counts of particle size ≥ 5 µm. One possible         particles could be detected with the counter.       garment system
 reason for this ambiguous result could be
 that the studies of the cleanroom garment            The analysis of the additionally prepared gar-      1) Each cleanroom textile has its own
 presented here were „only“ carried out in a          ment sets for the worst-case scenario could            characteristics, which may change
 Body-Box, which does not represent a genui-          only be carried out with eight clothing sets.          differently with increasing number of
 ne cleanroom of zone A/B with associated             Individual parts had defects on wear parts,            washing, sterilisation and usage cycles.
 personnel airlock, but rather the cleanroom          which is why no further measurements could
                                                                                                          2) Cleanroom compatible intermediate gar-
 itself guarantees an ISO Class 4, while the          be carried out with these. Therefore, the data
                                                                                                             ment is a critical factor in the efficiency
 associated personnel airlock „only“ repre-           from the worst-case scenario was not used for
                                                                                                             of a cleanroom garment system.
 sents an ISO Class 7. Thus, the particle counts      further comparison at this point. All in all, the
 can only be evaluated to a limited extent.           60 and 40 cycles could be confirmed as good         3) Each cleanroom laundry processes
                                                      end points with the safety buffer examined.            cleanroom garments under different
 In the course of the generally relatively low                                                               conditions.
 particle counts recorded, only isolated airbor-
                                                                                                          4) Mechanical stress from the wearers can
 ne viable particles could be detected with the       4. Discussion
                                                                                                             vary greatly between different users and/
 BioTrak® system. Due to the large number of
                                                                                                             or application processes.
 measuring points without findings, no statis-        Based on the data, it can be seen that the
 tical analysis of the comparability of the gar-      established garment system meets the requi-         5) Disinfectants or other additional influen-
                                                                                                             ces during wearing affect the durability of
                                                                                                             the cleanroom garment.
                                                                                                          6) The sterilisation process (duration, tempe-
                                                                                                             rature, type) influences the durability and
                                                                                                             efficiency of the cleanroom garment.
                                                                                                          7) Wearing time can vary greatly between
                                                                                                             different application processes.
                                                                                                          8) The type and degree of contaminants to
                                                                                                             be removed can have an impact on the
                                                                                                             ageing characteristics of a cleanroom tex-
                                                                                                             tile.

                                                                                                          Consequently, each user should qualify/
                                                                                                          requalify its own cleanroom garment system
                                                                                                          according the relevant framework. Qualifying
                                                                                                          the efficiency of the cleanroom garment
                                                                                                          when new is not sufficient – qualifying the
                                                                                                          efficiency of the cleanroom garment with the
                                                                                                          maximum specified number of decontamina-
 Figure 4: Airborne particles (T=total particle count, V=viable particle count as mean                    tion, sterilisation and wearing cycles should
 value per minute separated by movement phase (n.d. = not detected)                                       also be done.

                                                                                                                                                     F5
Requalification of a cleanroom garment system
Requalification of a
cleanroom garment system

In the case of an initial definition or a change                   5. Forcast
of the cleanroom garment system, this is
of course not yet possible at the beginning.                       The question for data on the qualification/
Here, one can and must ultimately rely on                          requalification of cleanroom garment sys-
empirical values of other users, on study                          tems is likely to increase in the near future.
results – such as those described here – and                       Thus, as part of a follow-up study with
on the manufacturer‘s statements. If neces-                        another pharmaceutical producer, additional
sary, however, ageing phenomena can be                             fabric properties were tested with regard
simulated in a timely manner in order to be                        to ageing phenomena. For this purpose, the
able to make a better risk assessment. With                        recognised textile research institute DITV
increasing use of the cleanroom garments,                          Denkendorf was commissioned with the cor-
comparable tests, as described in this study,                      responding tests. The tests included, on the
are then possible under the specific frame-                        one hand, the roughening behaviour and the
work conditions – as part of the qualification                     tensile and tearing forces in the textile, as
process. Also essential for the interpretation                     well as the air permeability and the particle
and classification of results are the results                      retention capacity on the DITV filter test rig in
and trend data of the company‘s own routine                        accordance with VDI 3926.
microbiological bacterial count determina-
tions of the cleanroom and of the cleanroom                        The values determined in this new study
garments (environmental monitoring). If we                         using the Body-Box method in terms of
now combine these two elements:                                    release of airborne particles and viable con-
                                                                   taminations tended to agree with the fin-
P Qualification of the garment system, as
                                                                   dings of the study discussed in this article.
                         well as
                                                                   In particular, the data obtained at the textile
P Results and trend data of the microbio-
                                                                   research institute DITV Denkendorf showed -
                         logical bacterial count determinations
                                                                   no significant decrease in particle retention
                         of cleanroom and cleanroom garments
                                                                   (after 60 resp. 40 (for overboots) washing,
                         during the use of cleanroom garments in
                                                                   sterilisation and wearing cycles) – only very
                         cleanliness zones A/B,
                                                                   slight deviations in the mechanical resilience
this results in the contamination control stra-                    of the fabric (after 60 washing, sterilisation
tegy required in Annex 1 (recognise / define,                      and wearing cycles) and confirmed the state-        The authors
evaluate and control possible contamination                        ments on the defined washing, sterilisation         C. Moschner (1), A. Stärk (2)
risks and optimise if necessary)                                   and wearing cycles used here.                       H. Nagel (2), S. Gaza (1)
                                                                                                                       (1)
                                                                                                                             Dastex Reinraumzubehör GmbH & Co. KG
                                                                                                                       (2)
                                                                                                                             Novartis Pharma Stein AG

                                                                                                                       Article published (in German)
                                                                                                                       pharmind 1/2021

                                                                                                                       Revised version 2/2021
 CWS Cleanrooms Deutschland

                                                                                                                       Dastex Reinraumzubehör
                                                                                                                       GmbH & Co. KG
                                                                                                                       Draisstr. 23
                                                                                                                       76461 Muggensturm
                                                                                                                       GERMANY
                                                                                                                       Telephone +49 7222 9696-60
                                                                                                                       Telefax      +49 7222 9696-88
                                                                                                                       E-mail       info@dastex.com
                                                                                                                                                                    © Dastex

                                                                                                                       www.dastex.com

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